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General NPI Number Information
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NPI Number | 1508384728
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Entity Type | Individual
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Provider Name | DUSTIN RANDALL HUNSAKER DDS
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Gender | Male
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 152 S 32ND ST W STE A
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City | BILLINGS
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State | MT
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Zip | 59102-6875
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Country | US
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Telephone | 406-245-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 3418 FLAGSTONE DR
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City | BILLINGS
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State | MT
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Zip | 59102-0329
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Country | US
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Telephone | 801-884-3362
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | LL-572-22
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10399382-9922
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DEN-DEN-LIC-30176
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License Number State | MT
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